NPI 1972701381 · live from the CMS NPI Registry
Wyoming Orthopedic And Sports Medicine, LLC
Orthopaedic Surgery in Cheyenne, WY. National Provider Identifier 1972701381, active.
NPI record
| NPI | 1972701381 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 5050 Powderhouse Rd, Cheyenne, WY 82009 |
| Practice phone | 307-633-7943 |
| Mailing address | Po Box 21330, Cheyenne, WY 82003 |
| Enumerated | July 6, 2007 |
| Last updated | August 28, 2007 |
| Authorized official | Bruce Smith, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | — (WY) |
| Physician Assistant | 363A00000X | — (WY) |
| Orthopaedic Surgery primary | 207X00000X | — (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.